bundle of His pacing

His Bundle Pacing

by Good Dog - 2016-11-23 09:32:13

You didn't complete your bio so I am wondering where you are located. I believe that HIS Bundle Pacing is the best possible solution especially for you, but really for everyone. I am curious where you are, because I am interested (and it may be helpful for everyone) to know where it is being performed. 

From everything I have read it seems that HIS pacing should provide you with the best longevity. I have read that it can actually reverse CHF, but there are multiple benefits. So I am interested in reading more.

Wishing you the best,

David

bundle of his pacing

by fox30 - 2016-11-23 09:58:40

I had the PM place one year ago in Houston. I had developed an  left bundle block and exercise induced 2:1 AV block. The AV block could have be treated by biventricular pacing with a lead in the right ventricle at the apex.However there is some likehhod of that type of pacing actually causing a deterioration in heart function and even. In my case the presence of the LBBB lead the doctor to go with Bventricular pacing plan and if possible to place a HIs Bundle lead.(Sometime that cant be done for technical reasons) One of the EP docs from Medtronic on their website says that CRT (and HIs bundle pacing ) is basically treatment for LBBB and it is mainly those patients with heart failure and LBBB who experience the most benefits  from CRT.

In my case by 2 months  post procedure I seemed to be able to run about as well as before the LBBB and the AV block developed and that level of exercise tolerance seems so far to have persisted.

Interesting

by Good Dog - 2016-11-23 14:11:43

That is interesting. While I have a RBBB, HIS bundle pacing can also be used for right-ventricle pacing as well. It can be used for both. As a matter of fact, it is the most beneficial for RBBB (as I've read), however it is not performed that often. I spoke to a doc at the Cleveland Clinic and asked them about doing HIS bundle pacing for RBBB. They did not want to talk about it. They use a CRT with 3 leads for CHF. I asked, "why won't you do HIS pacing and maybe prevent CHF"? The doc said they prefer using a conventional 3 lead device when it is necessary to pace the left ventricle. Can you believe it? That is.........for now. We'll see what the future brings! Sounds like the docs in Houston are ahead of the  game. Great news for you!

Thanks so much for the info!

David

His bundle pacing prevents AF too....

by Terry - 2016-11-25 21:40:39

...as suggested by the MOST Trial. (Googal His-pacing.org). The business model of some hospitals points to 3 lead CRT because it pays so much, and His pacing only pays the hospital the same as conventional pacing.

Terry

his bundle pacing

by fox30 - 2017-01-03 18:08:09

If I remember right the Most trial showed that dual chamber pacing was associated with less development of a fib versus V-V pacing.His  bundle pacing was not studied in that trial.

His Bundle pacing

by fox30 - 2017-09-12 16:32:50

Followup to  earlier posting about His bundle pacing. In the interim it seems that His bundle pacing has received much attention in the EP journals. More Ep docs are using it for AVblock and also for CRT rather than Bi V pacing. My PM  has been working well for the last 2 years as of this month. Any one else out there with a His Bundle pacing PM?